Individual provider Active NPI

Lakita H Mitchell

  • Driver
  • College Station, TX
National Provider Identifier
1619681178
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
18618120 Issued in TX
Practice address
2301 Eastmark Dr Apt 101
College Station, TX 77840-4077
Phone
(979) 473-9991
Fax
(866) 250-4077
NPI assigned
Jan 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 18618120 TX Primary

Addresses

Primary practice location

2301 Eastmark Dr Apt 101
College Station, TX 77840-4077

Mailing address

2301 Eastmark Dr Apt 101
College Station, TX 77840-4077
Phone (979) 473-9991

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.hiredbymithcell.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18618120TXMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell Enterprises Staffing Agency CurrentSince Jan 15, 2023 Accepting new patients

Locations

2301 Eastmark Dr
Apt 101
College Station, TX 77840
Phone (979) 473-9991

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1619681178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 EASTMARK DR APT 101",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778404077",
            "telephone_number": "979-473-9991",
            "fax_number": "866-250-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 EASTMARK DR APT 101",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778404077",
            "telephone_number": "979-473-9991",
            "fax_number": "866-250-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "LAKITA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TX",
            "license": "18618120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.hiredbymithcell.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2301 Eastmark Dr Apt 101",
            "city": "College Station",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778404077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.